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Pediatric lactulose dosing is 1g/kg body weight, with a maximum of 10 g (22 lbs and above receive the maximum adult dose of 10 g).11 Lactulose kits can only be ordered by prescribing physicians, since lactulose is a prescription item

Greenish or brownish discoloration indicates copper oxidation and peptide bond cleavage, meaning the coordination complex has dissociated and the compound is no longer biologically active

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Clin Transl Med 11:e372